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  • 1.  Charge Nurse Role and Responsibility in Ambulatory

    Posted 05-22-2025 18:40

    Hello,

    I am a clinical manager supporting ambulatory nursing practice. I am seeking information on what are the standard roles and responsibilities of the charge nurse or head nurse over ambulatory (RN's, MA's and LPN's) in a clinic setting. I find it varies widely and am seeking information and also any evidenced based recommendation on a model that has worked well in other ambulatory clinics. Appreciate any insight!! :-)



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    Heather Arms
    Clinical Manager Dept of Nursing
    Gundersen Health
    Onalaska WI
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  • 2.  RE: Charge Nurse Role and Responsibility in Ambulatory

    Posted 05-23-2025 07:10

    Good morning, we do not have charge nurses in our ambulatory clinics, but we do have Nurse Clinic Coordinators.  This is a management role and first line of clinical issues.  Sometimes we work in clinics, but most of the time we perform leadership roles.



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    Glenda Wright MHA, BSN, RN-BC
    Clinic Coordinator
    HealthPark Specialty Clinic (TGH)
    gwright@usftgp.org
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  • 3.  RE: Charge Nurse Role and Responsibility in Ambulatory

    Posted 06-10-2025 15:38

    Hi Glenda,

    Thank you very much for your response. Do your nurse clinic coordinators have a list of responsibilities that you might be able to email me for reference? Do they get paid more to function in this role? Do they fall under a manager or director in terms of leadership? My email is hlarms@emplifyhealth.org



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    Heather Arms
    Clinical Manager Dept of Nursing
    Gundersen Health
    Onalaska WI
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  • 4.  RE: Charge Nurse Role and Responsibility in Ambulatory

    Posted 06-11-2025 08:42

    Hi - this is a great question - and Glenda I would love if you could share your job description or list of responsibilities with me as well as I am working on a similar issue - determining how best to support/use nursing leadership in our clinics! Thanks! 

    kurquhart@covenantcommunitycare.org 



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    Keri Urquhart MPH BSN RN
    Covenant Community Care- FQHC
    Detroit MI
    (586) 215-3448
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  • 5.  RE: Charge Nurse Role and Responsibility in Ambulatory

    Posted 05-23-2025 23:31

    I'm manage a team of telephone nurse triage nurses, and we have virtual charge nurses who oversee our chats throughout the day and work as a liasion between leadership and the telephone team. 

    For us the ambulatory nurse job code does not qualify for charge nurse pay so I have input a request for nursing supervisors for next FY to put charge nurses into. 

    I know this doesn't truly answer your question as you're looking for EBP in a clinic setting but giving you an idea of what we do and our challenges. 



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    Jaime Fletcher
    Director, Ambulatory Nurse Triage
    Orlando Health
    Orlando FL
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  • 6.  RE: Charge Nurse Role and Responsibility in Ambulatory

    Posted 06-10-2025 15:42

    Hi Jamie,

    Thank you for your response. I am interested in how the virtual nurses oversee chats throughout the day. Do you have big group chats that they have access to monitor this? Or is this happening behind the scenes? Will you have these nurses that you will group into the supervisor job code have other responsibilities in addition to overseeing chats and being a liaison?



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    Heather Arms
    Clinical Manager Dept of Nursing
    Gundersen Health
    Onalaska WI
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  • 7.  RE: Charge Nurse Role and Responsibility in Ambulatory

    Posted 06-10-2025 16:11

    HI Heather. My charge nurses over see a few chats. We only do primary care at this time so the charge nurses are in 4 total chats when in their role:

    1. Pediatric patient needs - where RNs on the phone with a peds pt post a question to the charge
    2. Adult patient needs - where RNs on the phone with an adult pt post a question to the charge 
    3. Charge RN chat - this is where we have all charge RNs in to bounce things off each other, train and upload resource documents
    4. Leadership needs - this is a chat established for when there are issue that arise that need leadership (non-urgent) the charge nurse puts here. Whichever leader is going to own the issue gives it a thumbs up.

    I do not expect my charge RNs who hopefully move to supervisor to add more to their role other than each supervisor will lead a charge/supervisor meeting monthly and be in rotation for evening shifts (currently we are only open 7a-9p, M-F and myself and managers cover the later shifts as the leader on. This would go to them with the CANMs. 

    The charge nurse currently monitors the chats, answers questions for the nurses who are stuck with something on the phone, input tickets for IT issues, help create resource documents and reach out to practice managers if we are unable to reach them for something urgent. Anything past that point goes to our leadership team to handle. They are also responsible for updating a charge RN daily form that has everyone's lunch schedules, and the on-call provider information for the after 5pm time frame. I can show you some documents offline, I would need to remove some internal links. Feel free to email me. 



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    Jaime Fletcher
    Director, Ambulatory Nurse Triage
    Orlando Health
    Orlando FL
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  • 8.  RE: Charge Nurse Role and Responsibility in Ambulatory

    Posted 05-30-2025 14:22

    We have a similar staffing model: LVNs, MAs, and RNs. We have both lead MAs and Charge RNs. We call the charge nurse the "Nurse of the Day" and any clinician, scheduling or organizational questions come up from Clinicians, MAs, BHPs, LVNs, other RNs contact the charge nurse. They also hold the responsibility of assisting with schedules, overseeing case management, facilitating meetings, medication inventory and ordering, crash cart inventory and ordering, training new employees, competency sign offs and share in process improvements with leadership. We have two senior RNs that fill this role and rotate through (receive a pay differential when they are charge). 



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    Gina Pearson RN, BSN, PHN
    Primary Care Nurse Manager
    UC Berkeley UHS Tang Center
    Oakland CA
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  • 9.  RE: Charge Nurse Role and Responsibility in Ambulatory

    Posted 06-10-2025 15:36

    Hi Gina,

    Thank you very much for your response. Do you have a list of responsibilities for the leads you would be able to email me? I also wonder do you have special orientation or resources for these two senior RN's to educate and prepare them for this role? my email is hlarms@emplifyhealth.org



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    Heather Arms
    Clinical Manager Dept of Nursing
    Gundersen Health
    Onalaska WI
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  • 10.  RE: Charge Nurse Role and Responsibility in Ambulatory

    Posted 06-11-2025 07:01

    Hi Heather,  

     I am a Nursing Director at a FQHC. Each of our department has a designated manager, but in their absence, a Charge Nurse is appointed to oversee the clinical aspects of operations (each department also has operation manager). 

    The Charge Nurse handles most issues that arise within the department, except for disciplinary matters. They receive a charge nurse differential pay for the hours they are in this role.  

    I'd be happy to email you the full list of responsibilities for the Charge Nurse.

    Best,  



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    Aishetu (Aisha) Abubakar BSN, RN, MPH
    Director of Nursing
    Lynn Community Health Center
    Email: aabubakar@lchcnet.org
    phone: 978 918 6233
    Lynn, MA
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